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Deactivated NPI 1205925211 Deactivated / Inactive NPI Male Practitioner

Dr. Travis Thompson , PhD

Psychologist • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Travis Thompson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date September 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Travis Thompson, PhD was a registered Psychologist practicing in Minneapolis, MN. Throughout an active medical career spanning 17 years, Dr. Thompson provided care at the practice location at 516 DELAWARE ST SE until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

516 Delaware St Se
Pwb Fourth Floor, Clinic 4a

Minneapolis, MN 554550356

Telephone 6126257466
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP2163

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1326120874

Doctor of Philosophy (Ph.D.)

Dr. Richard Ziegler , PhD, MD

Psychologist - Clinical

NPI 1437172699

Doctor of Philosophy (Ph.D.), Doctor of Medicine (M.D.)

Dr. Galen Breningstall , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1437185394

Doctor of Medicine (M.D.)

Dr. Michael Potegal , PhD

Clinical Neuropsychologist

NPI 1588748818

Doctor of Philosophy (Ph.D.)

NPI 1750480364

Doctor of Medicine (M.D.)

Kristin Lentz , CNP

Nurse Practitioner

NPI 1750783908

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 516 DELAWARE ST SE, PWB FOURTH FLOOR, CLINIC 4A, MINNEAPOLIS, MN 554550356 (Tel: 6126257466)

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Updated Business Mailing Address July 08, 2007

Registered at 420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455 (Tel: 6126257466)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TRAVIS THOMPSON, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP2163 in MN)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205925211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Deactivation Date: September 27, 2023

Mailing Address

420 Delaware Street Se, University Of Minnesota Physicians

Minneapolis, MN 55455

Phone: 6126257466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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